DEREK TYRONE TILLMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027456

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

TYRONE

Last Name

TILLMAN

Business Name

DEREK TYRONE TILLMAN

Original Issue Date

07/09/2007

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

BELLAIRE

State

Zip

77401

County

TEXAS

Ever Disciplined

LastModifiedDate

02/08/2016